Individual provider · Type 1 NPI

Frederick Grubstad Ii

Psychiatric/Mental Health Nurse Practitioner · Campo, CA

NPI number 1477039667 Active

Practice location

1777 Buckman Springs Rd
Campo, CA 91906-2022

Fax (619) 478-2404

Mailing address

14360 Rios Canyon Rd Spc 76
El Cajon, CA 92021-2735

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95019498 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

74 other providers at this address

About NPI 1477039667

Frederick Grubstad Ii's National Provider Identifier is 1477039667, issued on Jul 11, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Campo, CA. The record was last updated on Jul 18, 2022.